Stop service Stop service Service address Date to stop service at above location Account information Account # Name (first and last) Primary phone # Type - Type -HomeOfficeCell Primary Phone # Email address Forwarding address Forwarding address Address City/Town State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Reason for stopping service Reason for stopping service I am a renter moving out I am the property owner and do not want service at this time The above property has sold and is transferring ownership Landlord information Landlord's name Landlord's phone # I understand there is a $100 disconnect fee that I agree to pay There will be a $100 reconnect fee when service is reconnected. New owner or realtor name New owner or realtor's phone # Member's signature Reset Sign above CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit